1911 Boston Medical and Surgical Journal  
2. Mantovani, M. The Sero-Diagnosis of Syphilis by the Method of J. Sabrazes Eckenstein. 3. Tabboni, L. Central and Peripheral Nervous Lesions of Botulism. (Preliminary note.) 3. The author describes three distinct types of alimentary intoxication due respectively to infection with Gartner's bacillus enteritidis, with the paratyphoid bacillus, and with the bacillus botulinus. He discusses the phenomena of botulism and presents clinical and anatomic report of a fatal case. He believes that the
more » ... believes that the manifestations in the nervous system are of toxic origin; that the peripheral nerve lesions are not profound; that the neuritides of botulism are prevailingly interstitial rather than parenchymal or degenerative. consequence of a report made by a committee of the Academy of Medicine, passed a law requiring that the eyes of children be examined on entrance to institutions, and that cases showing contagious disease should be isolated. It also provided for a monthly examination of all the children in institutions. This was productive of much benefit, but in 1903 Dr. Derby pointed out that 60% of the cases entering the institutions came direct from the public schools, where no recognizance of trachoma was taken. Through the reports of examinations made by Drs. Derby and Bradley public attention was attracted to the prevalence of this disease among the pupils, and for the first time the matter was brought home to the board of health. It is now a matter of record how ably the city health department met the situation. Hospitals were established for the treatment, operative and local, of the affected children, and a permanent system of efficient school inspection by competent inspectors was established. Mi scel l any A DISCUSSION OF LEPROSY. On Dec. 29 there was a leprosy field night at the New York Academy of Medicine, the meetingbeing under the auspices of the Section on Dermatology of the Academy. No less than eleven lepers were presented, and among them were two women. All the patients were brought from institutions: One, a Chinaman, from Paterson, N. J.; four from Brooklyn; two from the City Hospital, Blackwell's Island; three from the New York Skin and Cancer Hospital; and one from the German Hospital. The characteristic features of the cases were demonstrated by Drs. Bronson, Bulkley, Fox, Dade, Fischer, Winfield and Wise. The purpose of exhibiting the lepers was stated to be in furtherance of an effort to educate the public regarding the fancied dangers from this disease and do away with the hysterical attitude it has heretofore shown whenever the presence of a leper became a matter of general knowledge. As a result of this feeling on the part of the public, lepers, in fear and terror, often conceal the fact of their having the disease, instead of applying for and receiving humane and intelligent treatment. The sentiment expressed was for the establishment of national leprosy hospitals in Florida and California, it being urged that it was impracticable for the several states to take action, on account of the small number of cases in each state and the likelihood of one state driving its lepers into other states. Dr. S. Pollitzer gave an historical sketch of leprosy in the United States, showing how the disease had been brought into the South by negro slaves, into San Francisco by Chinese immigrants, and into the old sailing-ship ports of New Bedford and Boston by sailors coming from all parts of the world. At present almost all the recorded cases were to be found in the five seaboard states,-
doi:10.1056/nejm191101051640110 fatcat:fnp3hqa6hrbwhbr7kof7ivlnze